Healthcare Provider Details

I. General information

NPI: 1295409688
Provider Name (Legal Business Name): MICHAEL P. ZAHALSKY, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2021
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2951 NW 49TH AVE STE 308
LAUDERDALE LAKES FL
33313-1617
US

IV. Provider business mailing address

5850 CORAL RIDGE DR STE 106
CORAL SPRINGS FL
33076-3379
US

V. Phone/Fax

Practice location:
  • Phone: 954-714-8200
  • Fax: 954-840-2626
Mailing address:
  • Phone: 954-714-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL PRESTON ZAHALSKY
Title or Position: PRESIDENT
Credential: MD
Phone: 954-714-8200